In hyperhidrosis, surgical intervention is an option in addition to drug therapy. Endoscopic thoracic sympathectomy (ETS) [ultima ratio therapy]. This procedure is the surgical transection of individual ganglia (accumulation of nerve cell bodies in the peripheral nervous system) of the sympathetic nervous system for the treatment of hyperhidrosis. Indication: this procedure can be performed for … Sweating (Hyperhidrosis): Surgical Therapy
Hyperhidrosis (sweating) is: Local or focal, i.e., increased sweating in certain areas of the body (e.g., armpits, hands, feet). Generalized, i.e., increased sweating over the entire body (e.g., as night sweats). Generalized hyperhidrosis usually occurs as an accompanying symptom in the presence of an underlying disease. Diagnostic criteria of primary focal hyperhidrosis (PFH): Positive family … Sweating (Hyperhidrosis): Symptoms, Complaints, Signs
The therapy of hyperhidrosis (sweating) is carried out depending on the cause. General measures Observance of the general hygiene measures! Frequent change of clothes (have spare clothes with you). Wear loose-fitting clothes. The clothes should not be tight against the skin. Use of deodorants (deodorants) that contain aluminum chloride or aluminim chloride hexahydrate. They help … Sweating (Hyperhidrosis): Therapy
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes [Hyperhidrosis (sweating) is: Local or focal, i.e., increased sweating in specific areas of the body (e.g., armpits, hands, feet) Generalized, i.e., increased … Sweating (Hyperhidrosis): Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count [alcohol dependence: MCV ↑] Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Fasting glucose (fasting blood glucose). Thyroid parameters – TSH Blood smear … Sweating (Hyperhidrosis): Test and Diagnosis
Therapeutic target Reduction of sweating Reduction of the formation of odors Therapy recommendations See the following therapy recommendations depending on the form of hyperhidrosis. See also under “Further therapy“. Localized hyperhidrosis In localized (focal) hyperhidrosis, the following therapeutic attempts can be made: Local therapy with antiperspirants such as aluminum chloride hexahydrate (15-25% concentration). Axillary hyperhidrosis: … Sweating (Hyperhidrosis): Drug Therapy
Obligatory medical device diagnostics. Minor iodine–strength test (synonym: Minor test; Minor test; iodine-strength test; is a qualitative test procedure for the detection of hyperhidrosis. Test procedure: The sweating skin area is carefully dried and then brushed with an iodine–potassium iodide solution. This is then dusted with a starch powder after drying. The mixture turns blue-black … Sweating (Hyperhidrosis): Diagnostic Tests
Medical history (history of illness) represents an important component in the diagnosis of hyperhidrosis (sweating). Family history Social history What is your occupation? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). When and in which areas (e.g. armpit, feet, hands) do … Sweating (Hyperhidrosis): Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Vitia* (congenital heart defects). Endocrine, nutritional, and metabolic diseases (E00-E90). Obesity* (obesity). Acromegaly* (giant growth) Andropause (male menopause) Diabetes mellitus* (diabetes) Hyperthyroidism* (hyperthyroidism) Hypoglycemia* (hypoglycemia; reactive, so not diabetic). Menopause* (climacteric; menopause in women). Skin and subcutaneous tissue (L00-L99) Eccrine and vascular tumors* * Organoid nevi* * (multiform … Sweating (Hyperhidrosis): Or something else? Differential Diagnosis
Hyperhidrosis can be divided into. Primary and secondary forms: Primary (idiopathic) hyperhidrosis is always focal Secondary forms are usually generalized, less often regional or localized (focal) Generalized, regional and localized forms. Hyperhidrosis Disease Severity Scale (HDSS). Grade How would you rate the extent of your sweating? I My sweating is never noticeable and never interferes … Sweating (Hyperhidrosis): Classification